Active NPI
Joan Baumbach
- General Practice Physician
- Santa Fe, NM
National Provider Identifier
1790045839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 96-191
- Practice address
- 1190 S Saint Francis Dr
N1350
Santa Fe, NM 87505-4173 - Phone
- (505) 827-0011
- Fax
- (505) 827-0013
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 96-191 | NM | Primary |
Addresses
Primary practice location
1190 S Saint Francis Dr
N1350
Santa Fe, NM 87505-4173
Mailing address
1190 S Saint Francis Dr
N1350
Santa Fe, NM 87505-4173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-191 | NM | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Department of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Santa Fe, NM
- NPI 1740496066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1790045839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 S SAINT FRANCIS DR",
"address_2": "N1350",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 S SAINT FRANCIS DR",
"address_2": "N1350",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054173",
"telephone_number": "505-827-0011",
"fax_number": "505-827-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMBACH",
"first_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "96-191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.